HomeMy WebLinkAboutBuilding Permit Application 1I ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCFP?" `
Date: l � Permit Number: i
Building Permit Application NOV 012'01
Planning and Development Services
Building and Code Regulation Division P ERrAI-MN11G
2300 Virginia Avenue, Fort Pierce FL 34982 St. Lucie County, FL
Phone: (772)462-1553 Fax: (772)462-1578 Commercial )( Residential
PERMIT APPLICATION FOR: Window/door
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Address: 4200 A1A #113 FORT PIERCE FI. 34959
Legal Description: OCEAN HARBOR SOUTH BLDG UNIT 113 AND UND INTEREST IN COMMON ELEMENTS(OR 3202-1954
Property Tax ID#: 1423-501-0101-000-8
Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
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DETAILED DESCRIP {ON OF }NQ K r �
Y^ �.^.w�-..ems rea .*a
3„ PRl,
REPLACE 3 WINDOWS /WITH EXISTING ACCORDION SHUTTERS
Additional wor •toe e orme e under-t is permit—c ec al that_,._. appy:
HVAC 11 Gas Tank 0Gas Piping _Shutters Windows/Doors
11 Electric ❑ Plumbing Sprinklers F1 Generator Roof Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction:$ 1625.00 Utilities:Sewer Septic Building Height:
Name GRACE RUSSELL Name: MATTHEW MARKS
Address:23710 S LAKE RD. Company: EAST COAST ALUMINUM PRODUCTS
City: HARRISONVILLE State:MO Address: 913 EDWARDS RD.
Zip Code: 64701 Fax: City: FT. PIERCE State:FL
Phone No.816-535-4439 Zip Code: 34982 Fax: 464-7603
E-Mail: Phone No. 772-464-7600
Fill in fee simple Title Holder an next page 4 if different E-Mail: ECAPINC@HOTMAIL.COM
from the 0%urner kited abs e) State or County License: 24526
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
it
SUPPLEMENTAL CONSTRUCTION L{EN LAW 1NFCRIVIaT1C{U
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules,bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will,in all respects,perform the work
in accordance with the approved plans,the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review:room additions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use
WARNING TO OWNER:Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording our Notice of Commencement.
S
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF TZ [.!/c/E COUNTY OF ST_ t&C/9
The for oing instrument was acknowledgedpefore me The forgoing instrument was acknowledged before me
this day of SEPT. 20/(�by this,��l`'day of S�pT 120 14 by
&7*eAy M424s AjATMFw &ACKs
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida)
Personally Known v OR Produced Identification Personally Known AOR Produced Identification
Type of Identification Produc of Identification Produ ed
'ussV AWN l MALIN UBnoiyi POPu09 """ "'• DONALD M.HOLMAN
�� 9 i 3��0 61OZ'OZ deg wwo0 AW `o�,i�o ` fG9/32 Vo ,`�tPNY PUB
Commission o. ( missio o. - 1(I
. 5E34�ubllc-State o1 Florida
DOZE 16 d!N u018slwwo0 Commission#FF 913240
tippold to am.s-oll4nd11,omm.Expires Sao 20.201IJ
R1eloN ;, o is
NVW al O0 '�„����a '''�,°;;t�•``, 8otidad ttrou i Nttional Notary Ayn.
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS